Individual
DR. SARA J. CORNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
906 ROUTE 940, POCONO LAKE, PA 18347-7891
(570) 991-2109
Mailing address
PO BOX 767, POCONO LAKE, PA 18347-0767
(570) 991-2109
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS016217
PA
103TC0700X
Clinical Psychologist
PY11370
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101894788
—
PA
Enumeration date
04/19/2007
Last updated
06/04/2024
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